Center cinch and release of buttress material

ABSTRACT

A buttressed anvil assembly is provided for use with a surgical stapling instrument. The buttressed anvil assembly generally includes an anvil member having a strip of buttress material attached thereto by a pair of sutures. A tensioning mechanism is provided to secure or tension the buttress material to the anvil member prior to use and allow for release of the buttress material after stapling of tissue. The tensioning mechanism includes a cinch track engageable with one of the pair of sutures.

CROSS REFERENCE TO RELATED APPLICATIONS

The present application is a Continuation Application of U.S. patentapplication Ser. No. 13/904,652, filed May 29, 2013, which is aContinuation Application of U.S. patent application Ser. No. 13/545,031,filed Jul. 10, 2012, now U.S. Pat. No. 8,453,909, which is aContinuation Application of U.S. patent application Ser. No. 13/111,050,filed May 19, 2011, now U.S. Pat. No. 8,235,273, which is a ContinuationPatent Application which claims priority to, and the benefit of, U.S.patent application Ser. No. 12/414,961 filed on Mar. 31, 2009, now U.S.Pat. No. 7,967,179, the entire contents of which are incorporated hereinby reference.

BACKGROUND

1. Technical Field

The present disclosure relates to an anvil assembly incorporating astrip of buttress material for use with a surgical stapling instrument.More particularly, the present disclosure relates to a buttress releasemechanism for release of the buttress material from the surgicalstapling instrument after stapling.

2. Background of Related Art

During various surgical procedures it is often necessary to join twosides of tissue. This is typically accomplished by approximating twoedges of the tissues flush against one another and securing them bystapling, suturing, etc. In some instances, the staple or suture lineconnecting the tissues may tear or tend to pull through the tissues,particularly, where the tissues are diseased and relatively weak.Additionally, during healing, leakage may occur through the staple orsuture lines.

In order to alleviate these problems, a strip of material, called“buttress material” is positioned against the tissues prior to staplingor suturing. The buttress material tends to reinforce the staple orsuture line as well as tend to prevent leakage prior to healing.

The buttress material may be attached to the surgical instrument beingused. For example, the buttress material is often pre-attached to astaple cartridge or anvil assembly of a surgical stapling instrument.The attachment of the buttress material needs be sufficiently secure toallow the surgical instrument to be inserted into the body of a patientas well as allowing the staple cartridge and anvil to be positionedabout specific tissues to be stapled. Furthermore, after stapling of thetissues, the buttress material needs to be attached in a manner whichallows easy separation of the buttress material from the associatedstaple cartridge and/or anvil.

Therefore, it is desirable to provide a cartridge or anvil assemblywhich is capable of easily releasing the buttress material after tissueshave been stapled.

SUMMARY

There is disclosed a buttressed anvil assembly for use with a surgicalstapling instrument. The buttressed anvil assembly generally includes ananvil having a strip of buttress material positioned adjacent a bottomside of the anvil. Distal and proximal sutures secure the buttressmaterial to the anvil. A tensioning mechanism is provided at a distalend of the anvil assembly. The tensioning mechanism includes a cinchtrack engageable with the distal suture to hold a distal end of thestrip of buttress material against the anvil. The cinch track is movablebetween a first vertical position tensioning the distal suture againstthe strip of buttress material to a second vertical position releasingtension on the distal suture to allow release of the strip of buttressmaterial from the anvil.

A release member is provided in the anvil to move the cinch trackbetween the first vertical position and the second vertical position.The release member includes a wedge engageable within a slot formed inthe cinch track. A wedge is movable between a first horizontal positionmaintaining the cinch track in the first vertical position and a secondhorizontal position allowing the cinch track to move to the secondvertical position. A proximal suture may also be provided to secure aproximal end of the strip of buttress material to a proximal end of theanvil.

Specifically, in a particular embodiment, the anvil assembly generallyincludes an anvil member having a first side and a second side and alength of suture material passing from the first side of the anvilmember to the second side of the anvil member. A cinch track is movablymounted on the first side of the anvil member and is engageable with thelength of suture. The cinch track is movable between a first verticalposition tensioning the length of suture and a second vertical positionreleasing tension on the length of suture. A release member is movablymounted on the first side of the anvil member and is movable relative tothe cinch track between a first horizontal position and a secondhorizontal position. The release member maintains the cinch track in thefirst vertical position when the release member is in the firsthorizontal position and allows the cinch track to move to the secondvertical position when the release member is in the second horizontalposition.

The anvil assembly additionally includes a strip of buttress materialpositioned adjacent the second side of the anvil member. The length ofsuture includes a backspan and first and second suture sides extendingfrom the backspan. The backspan is engageable with the strip of buttressmaterial to maintain the strip of buttress material adjacent the secondside of the anvil member when the cinch track is in the first verticalposition.

The anvil member includes first and second holes extending between thefirst and second sides of the anvil member. The first side of the lengthof suture material extends through the first hole and the second side ofthe suture material extends through the second hole. The cinch trackincludes a first track and the first suture side is secured in the firsttrack. The cinch track also includes a second track and the secondsuture side is secured in the second track.

The release member includes a wedge and the cinch track includes a slotsuch that the cinch track is in the first vertical position when thewedge is positioned within the slot and is in the second verticalposition when the wedge is out of the slot. The anvil member includes alongitudinally extending slot and the release member includes a guiderib movable within the longitudinally extending slot.

The strip of buttress material includes a perforation line adjacent adistal end of the buttress material to allow separation of the buttressmaterial distally of the anvil slot. The strip of buttress materialincludes first and second cutouts to accommodate passage of the firstand second sides of the length of suture material.

The anvil assembly additionally includes a proximal length of suturematerial for securing a proximal end of the strip of buttress materialto the anvil member. The proximal length of suture material includes abackspan and first and second sides extending from the backspan. Thebackspan secures a proximal end of the strip of buttress material to thesecond side of the anvil member. The anvil member includes a pair ofslots adjacent the proximal end of the anvil member. The pair of slotsis dimensioned to frictionally secure the first and second sides of theproximal length of suture material. The strip of buttress materialincludes first and second cutouts formed adjacent the proximal end ofthe strip of buttress material for passage of the first and second sidesof the proximal length of suture material.

The anvil assembly further includes a cover affixed to the anvil member.The cover including a distal window providing visualization of the cinchtrack and a pair of proximal windows providing visualization of thefirst and second sides of the proximal length of suture material securedwithin the first and second slots formed in the anvil member.

DESCRIPTION OF THE DRAWINGS

An embodiment of the presently disclosed buttressed anvil assembly isdisclosed herein with reference to the drawings, wherein:

FIG. 1 is a perspective view of a surgical stapling instrumentincorporating a buttressed anvil assembly;

FIG. 2 is a perspective view, with parts separated, of the buttressedanvil assembly incorporating a strip of buttress material;

FIG. 3 is a perspective view of a cinch track and release bar of thebuttressed anvil assembly;

FIG. 3a is a side view, partially shown in section, taken along the line3 a-3 a of FIG. 3;

FIG. 4 is a perspective view of the distal end of the buttressed anvilassembly taken from the top;

FIG. 5 is a perspective view of the distal end of the buttressed anvilassembly taken from the bottom;

FIG. 6 is a perspective view similar to FIG. 4 with an anvil coverremoved;

FIG. 7 is a side view of the distal end of the buttressed anvil assemblywith the anvil cover removed;

FIG. 8 is a side view similar to FIG. 7 during the initial advancementof a knife bar toward the release bar;

FIG. 9 is a side view similar to FIG. 8 illustrating the engagement ofthe knife bar with the release bar; and

FIG. 10 is a side view similar to FIG. 8 illustrating the knife baradvancing the release bar through the cinch track to release tension onthe strip of buttress material.

DETAILED DESCRIPTION OF EMBODIMENTS

An embodiment of the presently disclosed buttressed anvil assembly willnow be described in detail with reference to the drawings wherein likenumerals designate identical or corresponding elements in each of theseveral views. As is common in the art, the term ‘proximal” refers tothat part or component closer to the user or operator, i.e. surgeon orphysician, while the term “distal” refers to that part or componentfurther away from the user.

Referring to FIG. 1, there is disclosed a buttressed anvil assembly oranvil assembly 10 for use with a surgical stapling instrument 12. Asused herein, “buttress” includes pledgets, staple line reinforcementmaterial, gaskets, and other materials used in conjunction with surgicalinstruments for joining tissue. Surgical stapling instrument 12 is atype well known in the art and is embodied in U.S. Pat. Nos. 5,762,256;5,782,396; and 6,032,849, the contents of which are expresslyincorporated herein by reference.

Surgical stapling instrument 12 generally includes a pistol grip bodyportion 14 having an elongate tubular member 16 extending distally frombody portion 14. A staple cartridge 18 is mounted on a distal end 20 ofelongate tubular member 16. Anvil assembly 10 is movably mounted on adistal end 20 of elongate tubular member 16 and is movable between anopen position spaced apart from staple cartridge 18 to a closed positionwherein anvil assembly 10 is in close cooperative alignment with staplecartridge 18.

In order to move anvil assembly 10 between the open and closedpositions, surgical stapling instrument 12 includes a trigger 22pivotally mounted to body portion 14. Trigger 22 controls the linearmovement of an actuation shaft (not shown) which is mounted within theelongated tubular member 16. The actuation shaft operates to move adrive beam (not shown) distally to initially move the anvil assembly 10between the open and closed positions. The drive beam also acts to movean actuation sled (not shown) distally through the staple cartridge 18to eject staples. The drive beam includes a knife blade to cut tissue asthe drive beam translates through the staple cartridge 18. A rotationknob 24 is provided to orient anvil assembly 10 and staple cartridge 18relative to the tissue being stapled.

Although surgical stapling instrument 12 is shown with a single trigger22 which accomplishes both jaw closure and firing of staples, it isfurther contemplated that the present buttress release mechanism canalso be used with surgical stapling instruments of the type whichutilize a clamping mechanism to close the jaws which is separate fromthe firing mechanism. See, for example, U.S. Pat. No. 5,476,206, thecontents of which are expressly incorporated herein by reference.

Referring now to FIG. 2, anvil assembly 10 generally includes an anvilmember 26, having a knife slot 28 extending longitudinally partiallythrough anvil member 26, and a length or strip of buttress material 30.Strip of buttress material 30 is secured to anvil member 26 by a firstor distal suture 32 and a second or proximal suture 34. Distal andproximal sutures 32 and 34 secure respective distal and proximal ends 36and 38 of buttress material 30 to anvil member 26 in a manner describedin more detail hereinbelow.

Buttress material 30 further includes a pair of distal cutouts 40 and 42formed adjacent distal end 36 of buttress material 30. Distal cutouts 40and 42 are provided to accommodate passage of distal suture 32 to securebuttress material 30 to anvil member 26 and prevent any distal movementof buttress material 30 relative to anvil member 26. Similarly, a pairof proximal cutouts 44 and 46 is formed adjacent proximal end 38 ofbuttress material 30. Proximal cutouts 44 and 46 are provided to receiveproximal suture 34 to secure proximal end 38 of buttress material 30 toanvil member 26 and prevent any longitudinal motion of buttress material30. It should be noted that, during stapling and cutting of tissue,distal end 36 of buttress material 30 is distal of knife slot 28 andthus is not cut. A perforation line 48 may be formed in distal end 36 tofacilitate separation of buttress material 30 into two halves aftertissue has been stapled and cut.

In order to maintain tension of distal suture 32 against buttressmaterial 30 prior to the cutting of tissue and to allow for the releaseof tension of distal suture 32 against buttress material 30, anvilassembly 10 further includes a cinch track 50 which is positioned withina distal end 52 of anvil member 26. Cinch track 50 is movable between afirst vertical position tensioning distal suture 32 against buttressmaterial 30 and a second vertical position releasing tension of distalsuture 32 against buttress material 30. Cinch track 50 is provided tosecurely engage first and second sides 54 and 56 of first suture 32. Thesuture can be preformed in a shape defining the first side 54, secondside 56, and backspan 58, or can comprise an ordinary suture that iswrapped around the anvil so as to defining the first side 54, secondside 56, and backspan 58. The backspan 58 of first suture 32 liesagainst the distal end 36 of buttress material 30 against anvil member26.

In order to move cinch track 50 between the first and second verticalpositions, a release member 60 is provided and is longitudinally orhorizontally movable within anvil member 26 in a manner described inmore detail hereinbelow. The release member 60 may be formed as a bar,rod, cable or other member.

As shown, knife slot 28 has a proximal end 62 which is open at proximalend 64 of anvil member 26. A distal end 66 of knife slot 28 terminatesproximally of distal end 52 of anvil member 26. As noted herein above,buttress material 30 includes a perforation line 48 to facilitateseparation of distal end 36 of buttress material 30 as it is locateddistally of distal end 66 of knife slot 28.

In order to secure a proximal end 38 of buttress material 30 againstanvil member 26, anvil member 26 is provided with a pair of slots 68 and70 which are configured to securely receive first and second sides 72and 74 of proximal suture 34. The proximal suture can be preformed in ashape or comprise an ordinary suture wrapped around the anvil member soas to define first side 72, second side 74 and backspan 76. The backspan76 of proximal suture 34 engages proximal end 38 of buttress material 30to secure proximal end 38 against anvil member 26.

Anvil assembly 10 additionally includes an anvil cover 78 having adistal cinch window 80 formed in a distal end 82 of anvil cover 78.Distal cinch window 80 is provided to allow the surgeon to visuallyconfirm the engagement of distal suture 32 with cinch track 50. A pairof proximal cinch windows 84 and 86 are provided adjacent proximal end88 of anvil cover 78 and serve to allow the surgeon to visually confirmthe engagement of proximal suture 34, specifically the engagement offirst and second sides 72 and 74, with slots 68 and 70 formed inproximal end 64 of anvil member 26.

Anvil cover 78 includes longitudinally extending side cuts 90 and 92which are configured to engage side walls 94 and 96, formed in anvilmember 26, in friction fit fashion to secure anvil cover 78 to anvilmember 26. Alternatively, the anvil cover may be attached using welding,adhesives or other means. Mounting structure 98 is provided on proximalend 88 to facilitate attachment of anvil assembly 10 to distal end 20 ofelongate tubular member 16 (FIG. 1).

The cinch track generally includes a body portion defining one or moretracks. Referring now to FIGS. 3 and 3 a, cinch track 50 has a bodyportion 100 with first and second tracks 102 and 104. First and secondtracks 102 and 104 are dimensioned to pinch or cinch first and secondsides 54 and 56, respectively, of suture 32 to secure suture 32 to cinchtrack 50. Body portion 100 additionally includes a center slot 106 forreceipt of release member 60 in a matter discussed in more detailhereinbelow.

As noted herein above, cinch track 50 is positioned within distal end 52of anvil member 26 and is movable between first and second verticalpositions relative to anvil member 26. As specifically shown in FIG. 3,a pair of distal arms 108 and 110 extend distally from body portion 100while proximal tabs 112 and 114 extend proximally from body portion 100.Distal arms 108 and 110 are positioned against a proximal face 116formed in distal end 52 of anvil member 26 (FIG. 2). Likewise, proximaltab 112 and proximal tab 114 are configured to loosely engage distalends 118 and 120 of side walls 94 and 96 formed in anvil member 26allowing cinch track 50 to move vertically within distal end 52 of anvilmember 26 (FIG. 2).

Referring back for the moment to FIG. 2, as noted herein above, releasemember 60 is provided to move cinch track 50 between the first andsecond vertical positions. Release member 60 includes a distal wedge 122which is configured to ride within center slot 106 of cinch track 50 tomove cinch track 50 between the first and second vertical positions. Asloped face 124 extends proximally from distal wedge 122. Sides 126 and128 of distal wedge 122 facilitate guiding distal wedge 122 againstcinch track 50. In the embodiment of FIG. 3a , the bottom surface of thecinch track 50 is generally horizontal. However, in other embodiments,one or more surfaces can be shaped to cooperate with the sloped face124, such as a cam surface, and may correspond to the shape of thesloped face 124.

Referring now to FIG. 3, release member 60 further includes a guide bar130 extending proximally from distal wedge 122. Guide bar 130 includes acentral portion 132 and a proximally extending flanged portion 134.Flanged portion 134 helps align release bar 60 within side walls 94 and96 of anvil member 26. As shown, a guide rib 136 extends downwardly fromguide bar 130 and is configured to ride within knife slot 28 such thatrelease member 60 is movable in a longitudinal or horizontal directionrelative to cinch track 50.

With specific reference to FIG. 3a , it can be seen that wedge 122 ofrelease member 60 is configured to move body portion 100 of cinch track50 vertically. Sloped face 124 of release member 60 facilitates assemblyof anvil assembly 10, and specifically, allows for reset of releasemember 60 to pre-fire and assembly condition. A base stop 138 isprovided on distal wedge 122 of release member 62 to prevent pullingwedge 122 completely through center slot 106 of cinch track 50 duringassembly.

Referring now to FIGS. 2-7, and initially with regard to FIG. 2, theassembly of a strip of buttress material 30 to anvil member 26 will nowbe described. Proximal end 38 of strip of buttress material 30 issecured to proximal end 64 of anvil member 26. Specifically, proximalend 38 is positioned against an underside 140 of anvil member 26.Proximal suture 34 is manipulated such that first and second free ends142 and 144 of first and second sides 72 and 74 pass through cutouts 44and 46 to bring backspan 76 of proximal suture 34 into engagement withproximal end 38 of strip of buttress material 30.

Thereafter, first and second sides 72 and 74 are positioned within slots68 and 70 in anvil member 26. During positioning, first and second side72 and 74 are tensioned so as to secure proximal end 38 of strip ofsuture material 30 against underside 140 of anvil member 26. As notedherein above, slots 68 and 70 are dimensioned so as to pinch or cinchfirst and second sides 72 and 74. Once strip of suture material 30 hasbeen secured, the excess material of first and second side 72 and 74extending beyond slots 68 and 70 may be trimmed off through the cover.It should be noted that, since proximal end 38 of strip of suturematerial 30 stretches across knife slot 28, there is no need to releasethe tension on proximal suture 34 as it will be cut by a knife blade(not shown) during the stapling procedure.

With reference to FIGS. 2-7, the assembly of distal end 36 of strip ofsuture material 30 to anvil member 26 will now be described. Initially,with respect to FIGS. 3 and 3 a, release member 60 is in a first orproximal most position. Cinch track 50 is in a first or verticallyhighest most position due to the passage and engagement of wedge 122 ofrelease member 60 within slot 106 formed in body portion 100 of cinchtrack 50.

With reference to FIG. 2, distal end 36 of strip of buttress material 30is positioned flush against underside 140 of anvil member 26. Distalsuture 32 is manipulated such that free ends 146 and 148 of first andsecond sides 54 and 56, respectively, passed through cutouts 40 and 42formed in distal end 36 of strip of buttress material 30. As shown,distal end 52 of anvil member 26 is provided with a pair of spaced apartholes 150 and 152. Free ends 146 and 148 of distal suture 32 are passedthrough holes 150 and 152 such that first and second sides 54 and 56 arealigned alongside first and second tracks 102 and 104 of cinch track 50.Vertical tension is applied to free ends 146 and 148 to secure distalend 36 of strip a buttress material 30 against underside 140 of anvilmember 26.

First and second sides 54 and 56 are then manipulated such that firstside 54 passes within second track 104 and second side 56 passes withinfirst track 102 (see also FIGS. 6 and 7). As noted herein above, firstand second tracks 102 and 104 are dimensioned so as to pinch or cinch asuture positioned therein. Thereafter, excess material of first andsecond sides 54 and 56 of distal suture 32 may be trimmed off. Finally,cover 78 is affixed to anvil member 26 in the manner described hereinabove.

With reference to FIGS. 4 and 5, in the assembled condition, first andsecond sides 54 and 56 of distal suture 32 are visible through distalcinch window 80 in cover 78 for verification (FIG. 4). Likewise,backspan 58 of distal suture 32 can be confirmed as extending acrossperforation line 48 and strip of suture material 30 (FIG. 5).

Referring now to FIGS. 1 and 6-10, the use of anvil assembly 10 will nowbe described. With reference to FIGS. 6 and 7, and as described hereinabove, in the initial position release bar 60 is in a first or proximalmost position maintaining cinch track 50 in a first or verticallyhighest position relative to anvil member 26 thereby maintaining tensionof backspan 58 of distal suture 32 against distal end 36 of strip ofbuttress material 30.

In use, with reference to FIG. 1, surgical stapling instrument 12 ismanipulated such that anvil assembly 10 and staple cartridge 18 arepositioned about the tissue (not shown) to be stapled. Once surgicalstapling 12 has been properly positioned, trigger 22 is actuated to moveanvil assembly 10 to the closed position about tissue relative to staplecartridge 18. While not specifically shown, anvil pockets are providedon anvil member 26 to clinch staples ejected out of staple cartridge 18through the subject tissue and through strip of buttress material 30.

Referring back for the moment to FIG. 2, and as noted herein above,backspan 76 of proximal suture 34 extends across knife slot 28.Referring now to FIG. 8, a knife bar 154 is associated with surgicalstapling instrument 12 to cut through staple lines formed in the tissueby staple cartridge 18 and anvil assembly 10. As knife bar 154 passesdistally through knife slot 28 a blade 156 of knife bar 154 cuts throughproximal end 38 of strip of buttress material 30 and severs backspan 76a proximal suture 34. Continued advancement of knife bar 154 distallythrough slot 28, causes blade 156 to continue to cut through strip ofbuttress material 30.

With continued reference to FIG. 8, as knife bar 154 advances distallythrough anvil member 26, a distal top edge 158 of knife bar 154approaches a proximal edge 160 of release member 60. As best shown inFIG. 9, as distal edge 158 of knife bar 154 moves distally it engagesproximal edge 160 of release member 60, knife bar 154 begins to driverelease member 60 distally such that distal wedge 122 of release member60 is driven distally through slot 106 (FIGS. 2 and 3) formed in cinchtrack 50.

With specific reference to FIG. 10, as release member 60 is driven to asecond or distal most position by a knife bar 54, sloped face 124 ofdistal wedge 122 clears slot 106 allowing cinch track 50 to drop down toa second or vertically lowest most position relative to anvil member 26.As shown, when cinch track 50 is in the second or vertically lowestposition, tension is released on distal suture 32 such that backspan 58of distal suture 32 drops a substantial distance below underside 140 ofanvil member 26. This creates an opening or gap 162 between backspan 58of distal suture 32 and underside 140 of anvil member 26.

Once knife bar 154 has reached a distal most position, pressure ontrigger 22 may be released allowing anvil member 10 to move to the openposition relative to staple cartridge 18 (FIG. 1). As anvil assembly 10is moved to the open position, distal end 36 of strip of buttressmaterial 30, being stapled the tissue, pulls free through gap 162allowing distal end 36 to separate from anvil member 26. As noted hereinabove, and as shown in FIG. 2, perforation line 48 is formed in distalend 36 of strip of buttress material 30 allowing strip of buttressmaterial 30 to separate into halves generally along the cut line formedby knife blade 156 through strip of buttress material 30. In thismanner, anvil assembly 10 allows for simple and easy assembly of a stripof buttress material 30 to with anvil member 26 and, more importantly,allows for easy release of distal end 36 of a strip of buttress material30 from anvil member 26.

It will be understood that various modifications may be made to theembodiments disclosed herein. For example, the release member could bearranged to be pulled proximally to change the position of the cinchtrack and release the suture and buttress. In other embodiments, theproximally pulled release member, or the release member 60 discussedabove, may be connected to a separate actuator on the handle of thesurgical instrument, for engagement by the user of the instrument. Inanother example, the disclosed cinch track may have more or fewer tracksto accommodate more or fewer wraps of a length of suture material.Further, the disclosed tensioning mechanisms, including the suture trackand the release bar, may be adapted to be incorporated in a staplecartridge and to function with driving bars in the staple cartridge.Additionally, the disclosed methods and structure for releasing tensionon a suture maintaining a strip of buttress material may find use inother forms of surgical staplers such as, for example, circularstaplers, etc. In further embodiments, a release member pushes cinchtrack down vertically to release the tension on the suture and releasethe buttress. Therefore, the above description should not be construedas limiting, but merely as exemplifications of particular embodiments.Those skilled in the art will envision other modifications within thescope and spirit of the claims appended hereto.

1-1. (canceled)
 2. A surgical stapling apparatus, comprising: a pair ofjaws, one of the jaws including a staple cartridge and the other of thejaws being an anvil assembly, each of the pair of jaws having a tissuecontacting surface; a surgical buttress positioned against the tissuecontacting surface of each of the jaws; a suture member passing acrossthe tissue contacting surface of at least one of the pair of jaws andoverlying the surgical buttress of the at least one of the jaws; and thesurgical buttress being pre-attached onto the tissue contacting surfaceof each of the jaws.
 3. A surgical stapling apparatus as recited inclaim 2, further comprising a tensioning member movably mounted on theat least one of the jaws and engageable with the suture member, thetensioning member movable between a first position tensioning the suturemember and a second position releasing tension on the suture member. 4.The surgical stapling apparatus as recited in claim 2, furthercomprising a knife assembly including a knife blade.
 5. The surgicalstapling apparatus as recited in claim 4, wherein the anvil memberincludes a knife slot, wherein the knife blade is distally movablethrough the knife slot.
 6. The surgical stapling apparatus as recited inclaim 2, wherein the suture member is disposed at a distal end of thestaple cartridge.
 7. The surgical stapling apparatus as recited in claim6, further comprising another suture member disposed at a proximal endof the staple cartridge.
 8. The surgical stapling apparatus as recitedin claim 2, further comprising a release member movably mounted toengage the tensioning member to move the tensioning member to the secondposition.
 9. The surgical stapling apparatus as recited in claim 2,wherein the surgical buttress of the at least one of the jaws definescutouts for the passage of the suture member therethrough.